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Medicare in West Virginia

By the numbers

In 2012, there were 392,021 Medicare beneficiaries in West Virginia. The state spent just over $3.5 billion on Medicare that year. 208,000 beneficiaries used hospital outpatient services and there were 625,080 days of inpatient services provided at West Virginia hospitals.

  • West Virginia residents enrolled in Medicare: 392,021
  • Number of Medicare Advantage plans available in West Virginia: 28
  • Total enrollment in Medicare Advantage plans in West Virginia: 78,780

Medicare Advantage Organizations and Prescription Drug Plan Sponsors must have a contract with Medicare in order to sell Medicare insurance plans (such as a Medicare HMO or a Medicare Part D Plan. Depending on the terms of the contract between the plan and Medicare, not every plan is available statewide or in all service areas. Each year, the plan must renew their contract with Medicare, so the availability of a plan in a specific service area is subject to change as a result of the annual contract renewal.

Medicare resources in West Virginia

West Virginia Medicare Savings Programs: The government sets a limit each year and if your income falls below that limit, then you may qualify for financial assistance from a Medicare Savings Program.

West Virginia State Health Insurance Counseling and Assistance Program (SHIP): SHIP is funded by the Center for Medicare & Medicaid Services (CMS) to provide resources in each state. In West Virginia, there are over 80 professional counselors that work in the SHIP office to give free unbiased assistance to beneficiaries and their loved ones.

How healthy is the state of West Virginia?

West Virginia is the thirty-seventh most populous state in the U.S. and ranked as the 41st healthiest state to live. West Virginia's strength as a healthy state is helped by its high per capita public health funding as well as low incidence of infectious diseases. Two challenges facing West Virginia are its high prevalence of smoking, obesity and diabetes as well as many poor mental and physical health days per month.

All data provided by the Henry J. Kaiser Family Foundation.

eHealth Medicare is operated by eHealthInsurance Services, Inc., a licensed health insurance agency certified to sell Medicare products.
Medicare has neither reviewed nor endorsed this information.

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